Nancy Ellen Reigle, PH.D,

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002155 Issued in GA

Practice address

2627 Sandy Plains Rd
Suite 101
Marietta, GA 30066-4269

Phone

(678) 640-6647

Fax

(770) 977-6761

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sweetwater Psychological Associates, LLC

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1114085743
  NPD (past)
• Sweetwater Psychological Associates, LLC

  • Clinical Psychologist
  • Lithia Springs, GA
  • NPI 1467562827
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1699859876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 SANDY PLAINS RD STE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664288",
            "telephone_number": "678-640-6647",
            "fax_number": "770-977-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 SANDY PLAINS RD",
            "address_2": "SUITE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664269",
            "telephone_number": "678-640-6647",
            "fax_number": "770-977-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGLE",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00767346A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edna A Reid, NP
• Maria Reid, APRN
• Nancy Ellen Reid, PA-C
• Peyton Reid, RBT
• Tonia Latrell Reid, LMT
• Linsay Rae Reijmer, OTR/L
• Jeffrey M. Reilly, M.D.
• Susan Boyd Reilly, D.D.S
• Thomas Stone Reilly Jr., D.D.S.
• Lori Reisig, PT, DPT

• Clinical Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.